A5009265593- Venous Thromboembolism Diagnosis and Management
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Atrial Fibrillation Management and Outcomes
- Pelvic floor disorders treatments
- Healthcare Policy and Management
- Ophthalmology and Visual Impairment Studies
- Retinal Imaging and Analysis
- Opioid Use Disorder Treatment
- Heparin-Induced Thrombocytopenia and Thrombosis
- Global Maternal and Child Health
- Prenatal Substance Exposure Effects
- Anorectal Disease Treatments and Outcomes
- Pain Management and Opioid Use
- Trauma and Emergency Care Studies
- Surgical Sutures and Adhesives
- Hospital Admissions and Outcomes
- Acute Ischemic Stroke Management
- Innovations in Medical Education
- Child and Adolescent Health
- Retinal Diseases and Treatments
- Blood Pressure and Hypertension Studies
- Acute Myocardial Infarction Research
- Endometriosis Research and Treatment
- Gynecological conditions and treatments
University of Michigan
2017-2025
Institute for Healthcare Improvement
2023
Michigan Medicine
2020
Diagnostic stewardship is the effort to optimize diagnostic testing reduce errors while avoiding overtesting and overtreatment. Abdominal pain appendicitis in children are essential use cases. Delayed diagnosis of can be dangerous even life-threatening, but harmful.
Objective To assess whether prolonged induction of labor was associated with increased maternal or neonatal morbidity. Study Design We performed a retrospective cohort study women undergoing at single institution. included singletons ≥ 36 weeks initial cervical dilation ≤4 cm. Prolonged defined as lasting > hours from the time method to delivery. A 2-to-1 propensity score-matched analysis between and those without labor. Maternal outcomes were cesarean delivery, chorioamnionitis,...
Background: Intraoperative resident autonomy has been compromised secondary to expectations for increased supervision without defined parameters safe progressive independence, diffusion of training experience, and more learn with less time. Surgical residents who are insufficiently entrusted during attain autonomy, confidence, even clinical competency, potentially affecting future patient outcomes. Objective: To determine if OpTrust, an educational intervention increasing intraoperative...
INTRODUCTION: We aimed to test the null hypothesis that there is no difference in patient pain among three different methods of perineal skin closure during second-degree repair: 1) suture, 2) and 3) surgical glue. METHODS: A single-blind randomized controlled trial women post vaginal birth with a laceration was conducted at tertiary care teaching hospital August 2014-April 2017.Following repair deep tissues per standard fashion, were suture or glue using 1:1:1 allocation. Pain assessed...
On April 6, 2015, the largest private health insurer in United States implemented a policy requiring prior authorization for all hysterectomies except those done as outpatient vaginal. The purpose of this was to increase utilization vaginal hysterectomy; however, it is unknown whether had its intended effect. We sought analyze trends hysterectomy routes before and after implementation see if increased.This retrospective study using Optum Clinformatics Data Mart national claims database women...
To describe trends in the pediatric mental health care continuum and identify potential gaps coordination.We used electronic medical record data from October 2016 to September 2019 characterize prevalence of issues population at a large American system. This was single institution case study. From data, primary discharge readmission diagnoses were identified using International Classification Diseases (ICD-9-CM, ICD-10-CM) codes. The queried for health-specific as defined by classification,...
Abstract Background Patients presenting to academic medical centers (AMC) typically receive primary care, specialty or both. Resources needed for each type of care vary, requiring different levels coordination. We propose a novel method determine whether patient primarily receives allow optimization Objectives aimed define the concepts Lifer Patient and Destination analyze current state utilization in those groups inform opportunities improving Methods Using AMC data 36-month study period...